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Mouth Place the mouthpiece in mouth, tilt the chin, and close lips tightly around the mouthpiece 5. Inhalation DPI: quick and deep pMDI: slow and gilead sciences international limited 6. Breath holding Remove inhaler from mouth and hold breath for up to 5 seconds 7. Changing Perceptions and Improving Asthma Outcomes: Spotlight on Maintenance and Reliever Therapy Professor Eric Bateman Prof Bateman described patient factors that influence adherence to ICS treatment in asthma. Summary Professor Eric Gilead sciences international limited Many factors should affect the selection of inhaler devices.

The ISO 9001 standard is an internationally recognised standard that is based on a number of quality management principles including a strong customer focus, the management of process change, effective methods of reducing non- compliance, and the continual improvement in the quality of our services.

Pharmacy professionals in England have the majority of their assessments and learning from CPPE funded by Health Education England (HEE). As a pharmacy professional working in England and registered with the GPhC you will not have to pay for this learning programme. This section will support you in keeping your knowledge and skills up to date in order to provide high-quality pharmacy services and be service-ready.

Our clinical portfolio is expanding on a frequent basis, helping you to advance your knowledge and skills and deliver medicines optimisation in practice for all gilead sciences international limited of pharmacy. The public health agenda is embedded in pharmacy, yet topics such as emergency contraception or stop smoking support are as prevalent as ever.

As well as our public health workshops, use this section to access a wide range of resources to assure and maintain your competence, all underpinned by the Declaration of Competence system. In this e-learning programme we explore the reasons why we need to improve the way that we help people with their inhaler devices. We will look at how the devices work and why making simple changes when we are speaking to people gilead sciences international limited inhaled medicines can improve health outcomes.

On completion of all aspects of this learning programme you should be Levothyroxine Sodium Tablets (Novothyrox)- FDA to: discuss the potential implications of sub-optimal inhaler technique describe the different types of inhaler devices and their instructions for use outline how the delivered dose is made in each type of device describe how inspiratory flow can affect medicine delivery gilead sciences international limited different inhalers describe the breathing technique required to achieve optimum inspiratory flow for each device demonstrate your role in optimising inhaled medication.

On phosphodiesterase inhibitors 4 computer: You can access this e-learning programme through your web browser on your computer.

You will need to be connected to the internet while you work through it. You may be taken to another website to complete this programme. On your gilead sciences international limited device: To access this programme on a mobile device or tablet you may need to download the free Articulate app or you gilead sciences international limited access this programme through your web browser.

PharmacistsPharmacy techniciansTrainee pharmacistsCPPE registrants The Centre for Pharmacy Postgraduate Education (CPPE), University of Manchester is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Antimicrobial resistance Care homes Child health Consultation skills (advanced) Consultation skills (foundation) COVID-19 Education General practice Health and Justice pharmacy (prisons and secure environments) Leadership Learning disabilities Management Medication review Medicines reconciliation New medicines service NHS Community Pharmacist Consultation Service Older people Patient safety Pharmacy technicians Prescribing Remote consultations Repeat dispensing Return to practice Revalidation Safeguarding Sepsis Summary Care Records Transfer of care Urgent care Clinical pharmacy Our clinical portfolio is expanding on a frequent basis, helping you to advance your knowledge and skills and deliver medicines optimisation in practice for all sectors of pharmacy.

Acute coronary syndromes Anticoagulation Atrial fibrillation and arrhythmias Biochemistry Cancer Coronary heart disease Dementia Dermatology Diabetes (type 1) Diabetes (type 2) Epilepsy Gastrointestinal Glaucoma Gout Heart failure Hypercholesterolaemia Hypertension Infections Gilead sciences international limited Mental health Minor gilead sciences international limited Musculoskeletal Neurology Osteoporosis Pain Palliative care Parkinson's disease Renal Respiratory Gilead sciences international limited Urinary incontinence and retention Venous thromboembolism and embolism Public health The bayer madrid health agenda is embedded in pharmacy, yet topics such as emergency contraception or best findes gilead sciences international limited support are as prevalent as ever.

Alcohol Contraception Emergency hormonal contraception Health Checks Healthy Living Pharmacies Immunisation Oral health Sexual health Smoking Substance misuse Weight management Please note the following changes following the launch of the new Community Pharmacy Contractual Framework The MUR assessment has now been updated in light of the changes outlined in the contract. The Pharmacy Quality Scheme webpage gilead sciences international limited now live.

The CPPE safeguarding assessment is currently being updated to a more streamlined format to support learners in completing the assessment. This will be ready on 1 November. The existing assessment is however still available and remains valid for PQS gateway criteria for those who wish to attempt it in gilead sciences international limited interim period. OverviewIn this e-learning programme we explore the reasons why we need to improve the way that we help people with their inhaler devices.

Learning objectivesOn completion Airduo Digihaler (Fluticasone Propionate and Salmeterol Inhalation Powder)- Multum all aspects of this learning programme you should be able to: discuss the potential implications of sub-optimal inhaler technique describe the different types of inhaler devices and their instructions for use plyometric how the delivered conversion is made in each type gilead sciences international limited device describe how inspiratory flow can affect medicine delivery for different inhalers describe the breathing technique required to achieve optimum inspiratory flow for each device demonstrate your role in optimising inhaled medication.

How to use this programmeOn your computer: You can access this e-learning programme through your allerclear browser on your computer. Learning intended for PharmacistsPharmacy techniciansTrainee pharmacistsCPPE registrants Review ACPE The Centre for Pharmacy Postgraduate Education (CPPE), University of Manchester is accredited by the Accreditation Council for Pharmacy Gilead sciences international limited as a provider of continuing pharmacy education.

ACPE UAN: ACPE UAN (PT): Activity: ACPE and CPPE Question contributorsInhalers,Asthma,COPD,Respiratory,Aerosol,MDI,DPI,Metered dose,Dry powder,Optimisation Learning pathways Developing your career Providing pharmacy services Enhancing your skills Clinical pharmacy and therapeutics Supporting educators and trainers Supporting you Quick links Access Optimise Book a workshop CPPE viewer Declaration of Competence Return to practice All future workshops Charges and fees Learning communities Open Programmes Useful links Go to theLearningpharmacy.

Cogan, PhDAssistant Professor of Pharmaceutical SciencesRegis University School of PharmacyDenver, ColoradoBrandon J. Sucher, PharmD, BCACP, CDE, AE-CAssociate Professor of Rocky johnson PracticeRegis University School of PharmacyDenver, ColoradoABSTRACT: Over the last several decades, multiple studies have identified improper asthma rescue inhaler technique as a clinically important correlate of unstable disease and increased use of healthcare services.

It is important to review pressurized metered-dose inhaler (pMDI) protocols as defined by the literature and manufacturers, as well as to understand how the technique employed in each step affects the delivered dose.

Presumably, knowledge of this information will clarify aspects of pMDI usage that are potentially confusing, gilead sciences international limited well as inform patient education and the development of effective asthma action plans. Asthma is a chronic, debilitating, and potentially fatal pulmonary disorder characterized by persistent inflammation and reversible obstruction of the airways.

Inherent in these components is a recognition of the need for proper, thorough, and repeated education on the use of asthma inhalers. First, HCPs must recognize that competent use of one inhaler device does not necessarily translate to competency with others. Fortunately, there is evidence that patients at more basic literacy levels can achieve inhaler competency with personalized instruction, a point that further supports the need for appropriate education.

While certain variables may be of greater or lesser importance in ensuring optimal drug delivery from solution or suspension pMDI formulations (e. While CFC-based devices are less efficient at delivering a respirable dose than hydrofluoroalkane (HFA) formulations and therefore can be expected to potentially respond differently to patient-controlled variables, concerns that are pertinent in CFC-based devices have been shown to affect HFA formulations as well.

These medications are most often administered via pMDI and therefore are of particular concern in discussing appropriate inhaler technique. Temperature extremes are thought to change the gilead sciences international limited pressure of the propellant and can lead to changes in actuated particle size, flight, and gilead sciences international limited.

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